October 28, 2019
October 20, 2019
October 20, 2019
November 23, 2018
If you have daily heartburn or other acid reflux symptoms, fill out the Quality of Life questionnaire below to assess to what degree it is impacting your life. Print off the calculations and bring it to your next doctor’s appointment for your physician to review.
Directions: Check the box to the right of each question which best describes your experience over the past 2 weeks.
Based upon your Quality of Life Total Score:
If you’d like to print the results of your questionnaire for you meeting with the surgeon, press print icon.
Source of questionnaire and calculations – Lifeback Medical